
Sample Cardholder's report of stolen credit card form |
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TO: __________________________ __________________________ Since receiving the ___________________________ issued under the number ________________________, it has been stolen. The card was stolen on or about ______________, 20______. The card was stolen under the following circumstances: (Describe Situation) I notified ______________________________ by telephone of the theft of the card on _______________________, 20______. You are hereby authorized to take all steps necessary and to notify the appropriate authorities to avoid illegal use of the above-numbered credit card. ______________________________
The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement. |
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This is a free blank Cardholder's report of stolen credit card example template in Microsoft Word format. |
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